Gastrostomy as a Preemptive Measure after Pancreatoduodenectomy against Delayed Gastric Emptying: A Small Case Series and a Review of the Literature

Figure 2

Two small holes, one in the center of the purse string suture (PDS 2-0) used to secure the tube after inserting it in the stomach and the other in the anterior abdominal wall, lateral to the left rectus muscle, are via electrodiathermy accomplished. A No. 18 Foley catheter is advanced through the anterior abdominal wall and into the body of the stomach, in a caudal direction. 3 ml of saline is used to inflate the Foley balloon so that it would not slip out of the stomach (we deflate it on the first postoperative day).